Recent Posts

laurahuff65
on 7/24/11 11:13 am
Topic: amerihealth HMO????
I went to seminar and have appt with surgeon August 10th.  Very nervous about amerihealth, so far I havent seen anyone with that insurance.... Thank You!
(46yrs old, 5'7 235lbs,for 7 years, with arthritis, heartburn, depression) Hope I can join the losers club!!!! 
doggz109
on 7/24/11 10:46 am - CA
VSG on 01/12/12
Topic: RE: Insurance help!

I beg you to reconsider and do more research.  The Lap Band is the worst of the four surgeries you could get.  In fact - with your stats (5'5" and 334 lbs) I would question a doctor that would recommend a Lap Band to you.

You need a better surgery to save your life.  Look into a VSG or DS.  Go look at the failure rate with Lap Band.  Keep researching.  I'm not kidding.

Calliou
on 7/23/11 3:07 am
RNY on 03/27/12
Topic: RE: United health care choice plus???
I also have UHC. On the website, it gives a list of things that need done before we can have our surgery. I printed it out and took it to my doc at the last appointment. It said nothing about the 6 month, so my doc is referring me in September (as my one year having UHC is up in August). I'm already making plans and getting all my ducks in a row.... thanks for posting this! It sure helped alot! (I was wondering about the insurance thing too!)
bathoria
on 7/22/11 2:39 pm - San Antonio, TX
Topic: RE: Starting any weight loss surgery with Tricare?
 Thank you so much. I just went to my primary care dr today and she put a referral so I have to wait :(
Samantha.M
on 7/22/11 9:29 am - Germany
Topic: RE: Starting any weight loss surgery with Tricare?
 The first thing you should have done was gone to your PCP. He/she needs to put in a referral for the WLS. Then there is the seminar. They take your information and will give you a call for the first consult. Then things should get going from there. 

I'm not sure how things are Ft. Sam but here at campbell they have their own Bariatric clinic at BACH. So things have been pretty easy to get done. Everything in one building.

I just finished up all my things I needed to do and now I'm just waiting for the Dr to get back from deployment to get a date. 
Proud army wife and mom of 2 ♥       
carrierae
on 7/22/11 5:06 am - WA
Topic: RE: Questions on Interpreting Insurance Policy Lingo (CIGNA)
I have cigna. All I have found and been told by them is the info on the website. 6 Months (June, July, Aug, Sep, Oct, Nov 1st should do right?) and the other requirements. Doesnt seem too bad and in reality my surgeon requires more than that. I am wondering now if I am reqindg it wrong as it seems cut and dry to me.

Carrie   HW: 334/Preop Appt W: 328/SW: 313/CW: 2  
preop: -21lbs, month 1: -28lbs, month 2: -16lbs, month 3: -18lbs, month 4: -11lbs,
month 5: -11lbs, month 6: -7lbs, ...all the way down. NOTE: after slacking I got back on track in Nov (month 12) and have lost 16lbs so far!

Linda78801
on 7/21/11 9:00 am
VSG on 02/03/12
Topic: RE: Questions on Interpreting Insurance Policy Lingo (CIGNA)
 I have Cigna too, but my doctor said my plan had an exclusion...He didn't want to even help me appeal it.  I spoke with one worker with Cigna and was told It could be covered with a doctor stating it is medically necessary.  I explained this to the doctor I went to see last saturday and he said NO, If it has an exclusion your out of luck.  I'm sorry your having a hard time, and I'm thinking I need to find another doctor that will want to help me.

   
    
Learning that life is worth living once you can breath!    
windyacres
on 7/21/11 5:07 am - Garner, NC
Topic: RE: BCBSNC
 Congratulations!  That's really fast.  I still have a couple of hoops to jump through.
bathoria
on 7/21/11 3:00 am - San Antonio, TX
Topic: Starting any weight loss surgery with Tricare?
 I want to start this process,what I am supposed to do first? I went to seminar. Do I need to make an appointment with my primary care? Or should I try to let this surgeon staff to call tricare ? I don't know how to start  this process with tricare. I have GERD,fatty liver,back problems,PCOS etc. I am over  70 lbs my weight now. I tried many years to see different dietitians and I am currently seeing a psychologist in regards my weight. Any suggestions and answers will be appreciated it.
Thanks! I am stained in Ft Sam Houston San Antonio for now.
rtptjd
on 7/20/11 9:17 pm - Atlanta, GA
Topic: RE: How long for Aetna's insurance decision?
I am a federal employee w/ Aetna.  Currentlly we are doing battle because like Eliza I have not had a consistent 35 or greater BMI for two years (of course, I've had co-morbidities for more like SIX years, but that doesn't seem to impress them). 

As far as the pre-op requirements, I did 3 visits each w/ a psychologist and a nutritionist.  Then, it was a 3 month supervised weight loss program with the surgeon himself.  After that, we submitted the paperwork.  It sounds like you would not have the BMI problems I am having, and w/ your hypertension history I'd think you have a good chance to getting Aetna's blessing the first time through.  However, they still may insist on the 3-month doctor supervised weight loss.  If you start it now, or even the first of August, you might be able to squeeze in by year's end -- depending of course on your surgeon's schedule. 

Good luck!
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